| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.36 | $860.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,421.00 | $2,565.00 | $4,423.00 | |
CareSource
| Facility | $282.64 | $387.93 | $447.51 | |
Cigna
| Facility | $341.86 | $341.86 | $341.86 | |
United
| Facility | $523.00 | $1,339.00 | $5,301.00 |